Tuesday, October 18, 2022

When I grow up I want to be a ....

Photo: Brunswick News Archives


      “What do you want to be when you grow up?” is a oft-asked question, whether posed to a group of 4 year olds playing with Legos and trucks or a youngster choosing a book from his personal home library.  Children playing with blocks being creative with design and those little ones who like to read or be read to are already filling up their ‘ideas’ bank with things they’d like to do and be when they get old enough, big enough, smart enough. Reinforcing the value of constructive play with one or two others or organizing a Lego house building contest is a great way for children to work collaboratively from a very young age. Reading circles also provide children with opportunities to learn and share ideas.  Reading contributes to allowing people, young and old, to make informed decisions about what they want to be and do when they grow up, so it’s vital to encourage it. Not all children are suited to the university track, that sought after goal of their parents and grandparents before them, but they can still be productive, forward moving citizens doing something quite different, that’s suited to their temperament and interests. 

The opportunities available to children while they are young will shape options available to them once they become part of the community on a more consistent, daily basis starting with schooling, from kindergarten going forward. 

In a recent newspaper article I read about curriculum changes to be made within New Brunswick schools to allow for more flexibility and choice. Having access to learning opportunities that appeal to aptitudes and interests has a staying power not always found in ‘sit down a be quiet’ methods of teaching; the latter model, in its rigidity, tends to set the stage for students tuning out to the instructor and that in turn is reflected in poor showing at exam time. The interest in material presented just isn’t there. Something had to be done. Still more needs to be done. Bring back shop, home economics, business education courses -- all those classes where hands-on learning drives the lessons. Co-operative learning and apprenticeship within the community are other ways to strengthen ‘staying power’ of the student’s in school experience. Children moving from kindergarten to first grade benefit from lots of hands-on learning which inspires them to drive their learning, whether through reading about specific topics of interest or venturing out into the community to become a part of groups involved in uplifting community spirit. 

For the most part, the growth of a child becomes a community project with many hands involved in shaping the path to young adulthood and beyond. For that reason, it’s imperative to pay attention early on, noting those subtle cues that tell you the story of the child’s learning style. In that way, adults can tailor their approach to match the skills of the child, setting a path for the youngster to thrive and move forward with little frustration to success. 

When asked many children will say they want to be, in order of preference, a doctor, a teacher, a scientist or a baker. The latter is a skill that every child should learn as soon as they’re able to toddle. Helping in the kitchen is an education in itself. Baking and cooking incorporate listening skills, reading and math skills and the skill of co-operation – working with one or more to achieve the end result; the finished cake, batch of cookies or hamburgers. Fruits of the labour are enjoyed by all and knowing their efforts are appreciated, as they should be, inspires children to do it again, to even ask to do it again. And that is exactly what a teacher wants and needs to see.

When I was growing up in rural NB, I lived in a community where families were large; I’m number 7 of 8. Following trends, children often chose professions in keeping with the work life experience of their parents. Typically, mothers worked inside and around the home, sustaining a stable home life for her husband and children. As children grew in maturity, they took their place in sharing load. That’s the way it was. All manner of interchangeable skill sets were accumulated that allowed children to make decisions about future plans that were more reality based. Children who wanted to be Superman when they were 4 grew into the idea when they were 12 that they wanted to be a police officer when they grew up. 

My late father was a doctor and my mother was a teacher. Before he was a doctor, though, Dad was a teacher. When he was in med school, there were already two children, an older sister and brother; over time, 6 more ‘rug rats’ joined them.  None of us went on to be a doctor but a few teachers tumbled out of Clan MacInnis. I’ve been a bit o this and a bit o that over my life. With the passage of time, the stuff that defines me as a ‘productive’ citizen got rolled into one job; the job of being me – a  listener, a counsellor, a reader, a writer. I’ve been writing for over 30 years and with this publication for 10. Living what I know, as I age with disability, allows me to educate parents out there who may be raising little ones like the child I used to be. There’s a place for us!

Carla MacInnis Rockwell is a freelance writer and disability rights advocate living outside Fredericton, NB with Miss Lexie, a rambunctious Maltese and Mr. Malcolm, a boisterous Havanese. She can be reached via email at Carla MacInnis Rockwell


Tuesday, October 4, 2022

What to do with 'broken' health care

Photo: Unsplash/Hush Naidoo Jade Photography

The health care system in New Brunswick is broken; broken is unsafe. Those with the 'inside track' know that it has to be rebuilt from the ground up and those those who've bee playing both ends against the middle in aid of giving the impression that things are 'just fine' need to `fess up to become part of the solution rather than spinning a narrative that continues to hide their part in the failures.

Hospitals are short staffed, doctors are aging out of general practice and specialties with not enough numbers to replace them, rural medicine is practically non-existent and that is the one thing that will allow the system to ‘get up off the floor’

New Brunswick is a province of seniors, elderly and geriatrics with immigration flow being more of a stopping off, checking it out and moving on place for those with greater mobility. We need to incentivize them staying to work and become part of the larger fabric of the culture of New Brunswick. That comes with exploring what brought them to ‘the picture province’ in the first place. Health care workers are exhausted, burned out, ready to throw in the towel. Were that to happen, the most vulnerable among us would be tossed into even greater emotional crisis, drowning in fear of the unknown.

Rethinking how medical care is delivered must be pushed to the forefront of any planning. Tools are still available; they just need a good cleaning so that people can see that there’s still value in the old ways. People first medical practice is a valuable way to more actively involve patients in their care, each and every day, from morning to bedtime; from toddling to geriatric slow walking or even no walking.

Health care delivery must become a collaborative effort that includes the community; recipients of health care must be more involved in looking after themselves and even their neighbour who struggles. The cost savings with stepped proactivity will be significant over time as stress is removed from services within the hospital setting.

There’s a pervasive complacency amongst users of health care services that everything will carry on as it’s always done regardless of the systemic abuses of the system meant to care for all. How can it carry on under the weight of what I call ‘frequent fliers’, with their over-use because they failed at home to meet their needs to be responsible grown-ups. With that comes responsible child care, expanding their skillset, from appreciating the importance of breakfast to knowing that early bedtime is vital to growing children.

We must correct course in our own homes, acknowledging our part in current gaps in care. Track your own ER visits in the last 6 months; the last year. How many were really urgent or more fear/panic driven? Would a telephone conversation with a doctor have allayed concerns? Let’s talk house calls, shall we. There’s a place for them.

I haven’t visited a hospital ER in years and I like it that way. I would often tell my late father who practiced medicine in Bath, NB for decades that I was confident I’d live a long and healthy life in spite of challenges to daily living. His brother, also a doctor, told me more than once that’d I’d be long-lived because of my disabling conditions, to show others ‘how it’s done’. Perhaps he got it right. I’m still tickin’ along with no major health complaints. When I moved to my current home in 1991, one of my first guests was the man who would become my family doctor until he retired; he made house calls. The late Dr. David Wagener was recommended to me by my doctor in Fredericton, the late Dr. B.P. Thorpe. She thought David and I would be a good fit. She was right.

During the height of COVID, I hunkered down, secure in the knowledge that I had enough healthy eats to feed a small army for several months.. From the 70s when I gained independence from parents to today, I am mindful of the choices I make with regard to how they impact my health and continued independent living as a person aging with disability.

I’m heartened to see that our rates of COVID are the lowest in the country and that as people who are now free of many of the COVID confinement restrictions are out and about in the community, they’re making a concerted effort to be forward moving with mindfulness of the needs of others.

Various components of our health care system outside the hospital setting have been in place when we were in the thick of COVID and during the dialing down of restrictions to movement. Financial assistance, food programs and mental health resources have been available to help families recover. It’s an ongoing process and it’s incumbent upon on all of us to be actively involved as solutions.

Our compliance, working toward a shared goal, serves to enhance the health care system; that being so, students undecided about a career path might consider nursing, medicine or social work. Our province is crying out for nurses and support workers to go into the homes of those who can’t easily come out to BE in the community. Could that be you?

Carla MacInnis Rockwell is a freelance writer and disability rights advocate living outside Fredericton, NB with Miss Lexie, a rambunctious Maltese and Mr. Malcolm, a boisterous Havanese. She can be reached via email at carmacrockwell@xplornet.ca